• Journal of dental hygiene science
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• v.16 no.6
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• pp.432-441
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• 2016

This study was conducted to investigate the effects of professional oral healthcare program in eldery residents long-term care facilities. Ninety-four elderly residents from 5 different facilities in Asan participated in this study. The subjects were divided into 3 groups, with 32 in experimental group I, 30 in experimental group II, and 32 in the control group. Subjects in experimental group I were treated by a dental hygienist with professional oral healthcare and received daily oral care from caregivers who had completed elderly oral healthcare course. Subjects in experimental group II received daily oral care from caregivers who had completed elderly oral healthcare course. Control group received daily oral care from caregivers. These 3 groups were tested for dental plaque, halitosis, tongue coating, and salivary flow at baseline, and after 4 and 12 weeks of treatment. There were significant differences in the dental plaque index between the groups, mediate times, and mediate methods, in halitosis between the mediate methods, and in tongue coating between the mediate times, as well as the mediate methods. Finally, salivary flow was significantly different with regard to mediate methods between experimental group II and the control group. Therefore, to improve the oral health condition of elderly residents, involvement of a part-time dentist and scheduled professional oral healthcare are necessary. Furthermore, elderly oral healthcare education for nursing staff, including managers, should be provided.

• The Journal of the Korean dental association
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• v.53 no.10
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• pp.688-695
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• 2015

Purpose: The institutionalized elderly have placed the most vulnerable state, and the report about the oral health status of the institutionalized elderly was scarce. The aims of the current study were to investigate the oral health status of institutionalized elderly. Materials and methods: The survey of the oral health status was carried out on 487 institutionalized elderly from 4 longterm care facilities of Seoul metropolitan city, Gyunggi province, and Gangwon province in Korea. Results: The prevalence of dental caries, root caries, and dental calculus of the institutionalized elderly was 19.2%, 15.3%, and 23.7%, respectively. The percentage of edentulism among the institutionalized elderly was 26.2%. Those who had poor oral hygiene and tongue coating were 43.9% and 90.5%, respectively. The percentages wearing complete and removable partial denture on maxilla were 12.8% and 3.3%, respectively. The percentages wearing complete and removable partial denture on mandible were 7.8% and 5.6%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on maxilla were 29.7% and 27.2%, respectively. The percentages of institutionalized elderly needing complete and removable partial denture on mandible were 24.5% and 30.9%, respectively. Conclusion: The oral health stuatus of institutionalized elderly was poor. For the oral health promotion of elderly in longterm care facilities, it is essential to educate nurses and caregivers about the importance of the oral health and oral hygiene method.

• The Korean Journal of Health Service Management
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• v.11 no.2
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• pp.81-91
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• 2017

Objectives : The purpose of this study was to provide basic data for the development of general and oral health improvement programs for the elderly by analyzing the effect of health risk factors on the remaining teeth of the elderly in day care centers. Methods : The subjects were 294 elderly people who used day care centers in Seoul. Results : In terms of health risk factors, the elderly who did not have diabetes or smoke had more remaining teeth. In terms of oral health risk factors, the elderly with no dental caries, periodontal disease and dental pain had more remaining teeth. Conclusions : It is necessary to activate systematic welfare services for the elderly that fit their lifestyle in the light of the health and oral health risk factors of the elderly who use day care centers.

• Journal of Korean society of Dental Hygiene
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• v.17 no.5
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• pp.791-803
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• 2017

Objectives: Oral health management is important to improve the quality of life among the elderly. This study investigated the performance of elderly oral health management among some care workers in long-term-care hospitals. Methods: The study subjects were 174 care workers in 10 long-term-care hospitals. Data on general characteristics of care workers, attitude, recognition and knowledge of elderly health, performance of elderly oral health management were collected by a self-administered questionnaire. Data were analyzed through descriptive analysis, t-test, ANOVA, correlation and multiple regression analysis by using a SPSS version 23.0 statistical program. Results: The performance score of oral health management was $4.34{\pm}0.64$ on the 5-point Likert scale. The subjects who exercised more than 2 times a month were significantly higher in their performance of elderly oral health management compared to subjects who did not exercise (${\beta}=0.232$, p=0.035). And, the subjects who cared 10-19 persons were significantly higher in performance of elderly oral health management compared to subjects who cared more than 20 elderly (${\beta}=0.246$, p=0.020). The oral health behavior of care worker (${\beta}=0.271$, p<0.001) and the knowledge of oral health care (${\beta}=0.055$, p=0.008) were positively related to the performance of elderly oral health management. Conclusions: The educational program designed to improve knowledge of care workers in accordance with the standard textbook for training care workers should be developed, and the long term education program should be reinforced to improve the performance for elderly oral health care. If care workers can care a proper number of old persons, they will give oral health care to them.

• Journal of Korean Academy of Nursing
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• v.41 no.5
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• pp.684-693
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• 2011

Purpose: To investigate the effects of oral care education on knowledge, attitudes & behavior of caregivers in oral care and oral hygiene for residents in nursing homes. Methods: In this quasi-experimental study, the intervention group (n=27) of residents received oral care from intervention group caregivers (n=28) who had received 6 weeks of oral care education. The control group (n=27) of residents received usual oral care from control group caregivers (n=26). Data on knowledge, attitude, and behavioral change in oral health care by the caregivers and plaque index & halitosis of the residents were collected. Data were analyzed using SPSS WIN 16.0. Results: 1) Scores on caregivers' knowledge (p<.001) and behavior (p<.001) for oral care were higher in the intervention group 6 and 12 weeks. The caregivers' attitude (p<.001) score for oral care was higher in the intervention group 12 weeks. 2) The plaque index (p=.004) and halitosis (p=.002) of the nursing home residents were lower in the intervention group than the control group at 6 and 12 weeks. Conclusion: Oral care education programs for caregivers are effective in improving the oral hygiene of elderly residents in nursing homes through enhancement of caregivers' knowledge, attitude, and behavioral change.

• Journal of Korean society of Dental Hygiene
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• v.6 no.4
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• pp.325-337
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• 2006

The purpose of this study was to examine the oral health state of the elderly in an effort to pave the way for dental health project planning for the elderly for the city of Jeonju and to help promote the oral health of the elderly population to which health care services weren't accessible a lot. The subjects in this study were 300 elderly people who were in their 60s and up and used 10 different welfare establishments for the elderly in Jeonju. A survey was conducted from May 3 through 13, 2005, by interviewing them in person, and the collected data were analyzed. The findings of the study were as follows: 1. In terms of the period of oral health examination, 44.1 percent of the 66-70 age group, 48.1 percent of the elementary school graduates and 39.4 percent of the house owners had their teeth examined whenever they had a toothache. So their cycle of oral health examination was statistically significantly different according to age(p<.05), education(p<0.001) and form of residence(p<0.001). 2. Regarding the necessity of prosthesis, prosthesis was needed by 52.1 percent of the age group from 71 to 80, 44.3 percent of the women, 48.9 percent of the men, 60.0 percent of the community college graduates and 55.9 percent who rent a house on a deposit or monthly basis. But there was no statistically significant gap among the groups. 3. As for the necessity of oral health education, the necessity of it was absolutely supported by 89.7 percent of the 66-70 age group, 76.0 percent of the women, 87.2 percent of the men, 95.3 percent of the middle school graduates and 87.7 percent of the house owners. Their age(p<.0.01), gender(p<0.05) education(p<0.05) and form of residence(p<0.01) made a statistically significant difference to that. 4. Concerning oral health education experience, 79.3 percent of the high school graduates and 79.8 percent of the house owners had never received oral health education, and that experience statistically significantly varied with education(p<0.001) and form of residence (p<0.001). 5. As to the biggest reason for oral health care, 50.0 percent found it necessary to take care of their teeth to ensure their own perpetual oral health, and 33.7 percent felt the need for that because they had a toothache. The above-mentioned findings indicated that the elderly people were definitely in want of oral health education. Dental hygienists in public dental clinics should serve as dental health educators to address their needs, and regular oral health care programs should be prepared to spread awareness about the importance of oral health among elderly locals.

• Journal of Korean society of Dental Hygiene
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• v.9 no.2
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• pp.221-228
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• 2009

The purpose of this study was to evaluate the impact of oral health impact profile in two urban area The respondents enrolled in this study were elderly people aged 65years from Gwang-ju city, Sunchon city. A total of 371 participants(Gwang-ju city 161, Sunchon city 210) analyzed. The contents of the research were social demographic characteristics, self perceived need for dental care, attributes related to denture, dental visiting pattern, the perceptions regarding dental health condition, and OHIP-14. 1. In the comparison Two urban area, the perceptions regarding dental health condition, self perceived need for dental care, dental visiting pattern was statistically significant difference(p<0.05). 2. Among the 7 OHIP-14 subscales, the mean scores of physical disability were significantly higher in two urban area(p<0.05). 3. The Social demographic characteristics, OHIP-14 represented a statistically significant difference related to gender, age and denture use(p<0.05). Through this research, Both Gwang-ju city and Sunchon city was found that elderly people was more negative impact of physical disability on oral health related quality of life. Therefore need to oral health program for improving oral health in the elderly people.

• Journal of dental hygiene science
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• v.20 no.1
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• pp.1-8
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• 2020

Given that the demand for dental care for elderly individuals is expected to increase according to demographic changes, long-term roadmaps for the current health insurance system should be actively planned. The study aimed to investigate the health insurance system in Korea, compared to that of Japan, and suggest directions for the work of dental hygienists to provide basic data on efficient improvements in the health insurance system. Based on the collected data, the website was used to collect additional related data from Korea and Japan. The most common cause of death in Korea was malignant neoplasms, and most patients were hospitalized for diseases and disorders of the musculoskeletal system and connective tissue. Dental care covered by Korean medical insurance for individuals aged 65 years or older was treatment oriented, such as dentures and implants, while in Japan, treatment-intensive items, such as visiting a dental hygienist for guidance and provision of home-care professional oral hygiene treatment, were covered. The percentages of remaining teeth in Korea and the percentage of remaining 20 teeth were 68.9% in those aged 65 to 74 years and 51.2% in those aged 75 to 84 years in Japan. A strategy for promoting oral health among elderly individuals should be established, and a multilateral intervention approach is required to prevent oral problems from leading to deterioration of whole-body health. The role of dental hygienists in providing comprehensive assessment to elderly individuals is important. In order to provide systemic oral care, it is necessary to introduce oral care systems according to the national policy.

• Journal of Korean society of Dental Hygiene
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• v.20 no.4
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• pp.447-455
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• 2020

Objectives: This study was conducted to analyze the factors affecting discomfort in the oral cavity for the elderly and to provide basic data for improving oral health in the elderly. Methods: It was conducted with ethical approval, and all subjects were explained about the research method and purpose before conducting the questionnaire. The final 178 were analyzed through a self-written questionnaire. SPSS 25.0 was used for statistical analysis of the collected data, and the significance level was 0.05. Results: Dental caries was 51.7%, periodontal disease was 69.1%, and lost tooth was 71.9%.The average score of discomfort in the oral cavity was 2.62±0.96. The factors affecting discomfort in the oral cavity were found to affect discomfort in the oral cavity in groups with education, periodontal disease, and missing teeth. Conclusions: Therefore, it is necessary to proceed with the oral health program according to the educational background of the elderly. Find out how to reduce oral discomfort caused by periodontal disease. It is believed that there is a need to expand health insurance for preventive care rather than treatment.

• Journal of Korean society of Dental Hygiene
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• v.22 no.6
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• pp.495-502
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• 2022

Objectives: The purpose of this study was to analyze research trends in dental hygiene using topic modeling and semantic network analysis. Methods: A total of 261 published studies were collected 686 key words from the Research Information Sharing Service (RISS) by 2019-2021. Topic modeling and semantic network analysis were performed using Textom. Results: The most frequently and frequency-inverse document frequently key words were 'dental hygienist', 'oral health', 'elderly', 'periodontal disease', 'dental hygiene'. N-gram of key words show that 'dental hygienist-emotional labor', 'dental hygienist-elderly', 'dental hygienist-job performance', 'oral health-quality of life', 'oral health-periodontal disease' etc. were frequently. Key words with high degree centrality were 'dental hygienist (0.317)', 'oral health (0.239)', 'elderly (0.127)', 'job satisfaction (0.057)', 'dental care (0.049)'. Extracted topics were 5 by topic modeling. Conclusions: Results from the current study could be available to know research trends in dental hygiene and it is necessary to improve more detailed and qualitative analysis in follow-up study.